| Doctor Name: | CAROL BISHOP |
| NPI Number: | 1790188324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1084235 |
| Business Practice Address: | 234 Keller Park Blvd Tuscumbia, AL - 356741417 |
| Business Phone Number: | 2563816963 |
| Business Fax Number: | 2556381601 |
| Mailing Address: | 234 Keller Park Blvd, TUSCUMBIA |
| State: | AL |
| Postal Code: | 356741417 |
| Phone Number: | 2563816963 |
| Fax Number: | 2556381601 |
| NPI Enumeration Date: | 09/26/2014 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1084235 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |